Vivian Leonard, RPh, Director of Pharmacy for Mount Sinai Queens, stands beside a drug collection kiosk.
Have you ever noticed old bottles of prescription medications in your medicine cabinet and wondered how you can properly dispose of them?
Experts say you shouldn’t flush unwanted pharmaceuticals down the toilet or throw them in the trash. Studies over the last decade reveal potential environmental and public health hazards associated with this practice.
To provide the community with a safer, more sustainable method of discarding over-the-counter and prescription drugs, Mount Sinai offers free, 24/7 drug collection kiosks at six locations—Mount Sinai Pharmacy on Madison, The Mount Sinai Hospital, Mount Sinai Morningside, Mount Sinai Queens, Mount Sinai West, and Mount Sinai South Nassau. The service is the result of a collaboration with an organization called MED-Project, which offers a drug take back program. Med-Project is a nonprofit formed by the pharmaceutical industry.
Gina Caliendo, PharmD, BCPS,
“This program gets unwanted drugs out of homes and into a secure location, so that they don’t end up with children and teens, or pets, or on the street for illicit use,” says Gina Caliendo, PharmD, BCPS, Senior Director of Pharmacy at The Mount Sinai Hospital. “It is an effort to get drugs out of circulation as much as possible.” The service is available at no charge for employees and members of the public.
The medication can be in the original container or sealed in a plastic bag. The program does not accept medical devices, batteries, or “sharps,” like needles or injectors. Mount Sinai will send everything deposited in the kiosks directly to a waste management company that incinerates the boxes and their contents.
The program is one of many prevention, treatment, and recovery efforts funded by the settlements reached with drug manufacturers for their role in the opioid crisis. It is one of many collaborative interventions between environmental and health care scientists to establish more sustainable practices at all stages of the pharmaceutical lifecycle.
“It’s a public safety measure,” says Dr. Caliendo. “We are inviting the community to do this as an effort to protect children and the environment, and to decrease access to drugs on the street.”
Keeping unused medications around the house or disposing of them through less secure means can be hazardous, especially for children and adolescents. According to a study published in the Journal of the American Academy of Child and Adolescent Psychiatry, teenagers often obtain drugs via leftover prescriptions they find at home. If not disposed of safely, opioids, stimulants, and other drugs with potential recreational uses may also be diverted into illegal markets, contributing to harmful cycles of drug misuse, addiction, and even overdose.
Also, virtually all medications can pose a threat if consumed by the wrong person, at the incorrect dosage, or past its expiration date.
While flushing drugs down the toilet may seem like a safe alternative, this can contaminate the water and expose others to potentially harmful chemicals.
“While water purification eliminates a lot of things, it does not necessarily eliminate all of these soluble chemicals,” says Dr. Caliendo.
In addition, research shows that pharmaceuticals released to the environment through flushing or other means can hurt the environment, including fish and other animal populations. Consuming active pharmaceutical ingredients can harm a diverse range of wildlife, leading to death or interfering with their ability to reproduce.
Pharmaceuticals discarded in the environment can also increasingly contribute to the problem of antimicrobial resistance—in both animal and human populations—which occurs when germs develop the ability to defeat the drugs designed to kill them.
Since opening its first kiosk in 2022, Mount Sinai has collected more than 700 pounds of discarded medication, making it a leader of this effort among New York City hospitals, according to Dr. Caliendo.
If Mount Sinai’s three collection kiosk locations are not convenient for you, you can find additional kiosks near you by searching the New York State Department of Environmental Conservation Drug Drop Sites map, or find a collector authorized by the U.S. Drug Enforcement Administration (DEA) in your community.
In addition to permanent collection sites at participating pharmacies and hospitals, you can also find community take-back sites sponsored by the DEA during the twice-annual National Prescription Drug Take Back Day, which are held in April and October.
If you are unable to bring your unwanted or expired medications to a free disposal site or event, you can request mail-in packages from the New York State Department of Health.